William Henry Powell Jr.
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962085142
StatusActive
Last updated in NPPESMay 4, 2021
Details
- NPI
- 1962085142
- Entity type
- Individual (NPI-1)
- Name
- Mr. William Henry Powell Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2021
- Certification date
- May 4, 2021
- Last updated
- May 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
2915 W Charleston Blvd Ste 175Las Vegas, NV 89102-1939
Phone 702-823-3910
Mailing address
1003 Kings Heather DrBowie, MD 20721-2010
Phone 301-219-6608
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